Will Bioinformatics Drive Medical Specialty-Specific EHRs?

Over the past several years, we have seen segmentation of EHR product offerings, usually tailored for different clinical settings. In a domain such as Radiology, the specialty requires integration of PACS into the EHR. However, in certain specialties such as oncology, the federal government, professional organizations, and even patient advocacy groups have recommended that the [...]

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PODCAST: One-on-One w/University of Texas M. D. Anderson Cancer Center VP & CIO Lynn Vogel, Chapter 5

While just about every CIO in healthcare can be described as intelligent, only a handful deserve to be called wise. One of those is undoubtedly M. D. Anderson Cancer Center’s Lynn Vogel. And Vogel is not the kind of CIO to keep all that wisdom to himself. As such, he’s an active educator in both [...]

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FDA to Recommend New Physician Certification

Table

The FDA has been receiving a great deal of criticism from the clinical community about a variety of issues, but probably none is as contentious as the ongoing patient safety issues regarding harmful drug-drug interactions and drug-gene interactions, estimated by the Institute of Medicine to cause 250,000 deaths each year in the U.S. The current [...]

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Future of the EHR: Exponential Increase in Storage

Genome Price Drop

It’s not just genomic scientists that are dealing with enormous amounts of DNA sequence data – the clinician will soon be next.  However, the explosion in linking disease with genetics, and the realization that the FDA will require gene testing prior to the prescription of potentially hundreds of drugs, will challenge the storage capacity required for [...]

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PBM versus EHR: Culture Clash?

MEDCO file

Individualizing drug therapy based on pharmacogenomics (PGx) is considered by many academic researchers and clinical experts as the “next significant domain of clinical practice” (see the American College of Clinical Pharmacology’s very informative web-based tutorial, “The Future of Medicine: Pharmacogenomics”, http://user.accp1.org/index_new.html). Drugs that are currently recommended for PGx testing by the FDA include specific medications [...]

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New Mandatory Genomics Education is Imminent

Slide bit

An HHS committee on Physician and Patient Education is developing new certification requirements for hospital physicians in genomics and pharmacogenomics.  Most hospital physicians, unless your specialty is oncology or obstetrics, are not familiar with anything but diseases inherited as classical Mendelien traits.  These new rules will require basic certification in both classical genetics and the [...]

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Big Pharma Invests in PGx – But What About the User?

PGx is an abbreviation for Pharmacogenomics or Pharmacogenetics.  Although those “in the know”, in the large drug companies, now just call it “PG”. Today was the first day of the ‘5th Workshop: Regulatory Decision Making’, sponsored by the FDA and the DIA (Drug Information Association), held in Rockville, MD. The crowd was about 300 attendees, [...]

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